Great question! Yes - In general, rhinoplasty surgery can narrow a wide nose and still look natural. A few things you may want to consider...
First, which part of the nose would you like to narrow, the upper portion (called the dorsum or bridge)? If so, this procedure is performed under anesthesia and requires making small breaks to the bone. The dorsum can be narrowed with or without tip refinement. Often, some tip refinement is done providing a smooth transition from the tip to the bridge.
Narrowing the nasal-tip is also a common request. Both of these procedures can be done and absolutely look natural; although, there is the possibility of the results looking pinched or unnatural if done incorrectly or excessively. It is very important to preserve a smooth transition from the tip to the dorsum/bridge to avoid a pinched or parentheses deformity to the tip.
Finally, and perhaps with the most controversy, is the subject of the nostrils. In general, I feel the nostrils should only be done occasionally and judiciously. It is very natural to have nostril flare (curvature of the nostrils - curving out, then in). Removing all nostril flare or having the nostrils joining directly to the face without any curve results in a very unnatural look. The procedure requires making small incisions on the outside of the nose which could leave scars and is almost impossible to reverse if over-done.
Several famous entertainers have had this over-correction done, turning many away from rhinoplasty. This procedure has also been over-done in many Asian patients. To achieve the most natural appearance, it is important to preserve the ethnicity of the nose. Our concept of facial beauty has evolved and we are now including nostril flare as an acceptable and even desirable trait. A great example of balancing ethnicity and facial beauty is Rihanna, who has a beautiful nose with a very defined tip, but prominent nostril flare.
That being said, there are times when excess nostril flare may be reduced to produce very nice results. We have several examples of this on our website: www.yourfaceinourhands.com You will notice the results are modest and natural appearing.
One last tip...when seeking a surgeon for this type of procedure, please make sure that your doctor is a board-certified plastic surgeon, specializing in rhinoplasty. Always ask for patient referrals and to see before/after photographs of patients with similar goals. It will definitely behoove you to do your homework and find a surgeon with the experience and qualifications before scheduling a surgery.
I hope this is helpful!
